Westco Job Application

Name*

First NameLast Name

Email*

example@example.com

Address*

Street Address

Street Address 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Position applying for:*

SalesDeliveryWarehouseOther

Westco location applying to work at:*

Are you physically able to perform the job?*

YesNo

When are you available to start?*

Are you 21 years of age or older?*

YesNo

Desired Salary

IF APPLYING FOR A DRIVING POSITION, WE WILL RUN A CURRENT MVR. SOME POSITIONS MAY REQUIRE A CDL.

Are you a citizen of the United States?*

YesNo

If no, are you authorized to work in the U.S.?

YesNo

Have you ever worked for this company?*

YesNo

If yes, what dates?

Have you ever been convicted of a felony?*

YesNo

If yes, please explain.

Education

High School

Did you graduate high school?*

YesNo

College/Vocation/Trade School

Did you graduate or earn a degree?*

YesNo

If yes, what degree did you earn?

Please upload your resume or email it to apply@westcohomefurnishings.com

References

Please list three professional and/or personal references

Reference # 1 First Name* Last Name*
Phone Number* Years Known*

Reference # 2 First Name* Last Name*
Phone Number* Years Known*

Reference # 3 First Name* Last Name*
Phone Number* Years Known*

Previous Employment

Please list your last three employers starting with the most recent

Previous Employment # 1
  Company Name*        Supervisor*         Phone Number*
  Dates Worked*      Job Title*   Job Responsibilities*
   Reason for Leaving*   Beginning and Ending Salary*

May we contact your previous supervisor for a reference?*

YesNo

Previous Employment # 2
Company Name*        Supervisor*         Phone Number*
Dates Worked*      Job Title*   Job Responsibilities*
   Reason for Leaving*   Beginning and Ending Salary*

May we contact your previous supervisor for a reference?*

YesNo

Previous Employment # 3
  Company Name*        Supervisor*         Phone Number*
   Dates Worked*      Job Title*   Job Responsibilities*
   Reason for Leaving*   Beginning and Ending Salary*

May we contact your previous supervisor for a reference?*

YesNo

Military Service

Leave blank if N/A

Military Service: Branch Dates of Service Rank at Discharge
Type of Discharge If other than hororable, please explain

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. I authorize the investigation of all matters contained in the application, including background checks.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature*

Clear

Date*

Date

This is a fill in the blanks field. Please add appropriate blank fields and text.